| NPI | 1669865457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK STEPHEN EHRHARDT Owner 303-659-1825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 6481) |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2015-03-18 |